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.¢ ; ti' .oL,4 C'c <br />lo <br />Ti <br />_ '7 <br />'dSP. ✓('��� <br />The undcrsiyneJ owner hereby agrecs lo hold and suvc hurmless the Cily of <br />EvercO from ony and all doims for damages Ihat moy arisc becousc o( Ihe <br />installalion and moinlenonce of Ihe improvemenl hereto applicd for and <br />funher agrees to removr, some upon nolice irom thc City ond fo repia<c all <br />public prcperly damcc�ed Ihereby. <br />� <br />;./r,' <br />Inspedo� i Signalure � <br />�� � <br />Dale <br />� <br />N <br />0 <br />m <br />0 <br />� <br />� <br />\ <br />—_—_ _' � <br />Variance Required <br />Yes .. . _... <br />No <br />�Signofure o( Applimnf <br />Address <br />� i <br />ielephone Number <br />Dafe <br />S C-/i Z G� 3 <br />Fee <br />DEPT. APPRCIVALS <br />Enginecrs <br />Waler �1�un- % r�. ' fi� /S�/fiLN 6Y <br />Slrcel <br />Communicutions -- , � � � ��� �� �� <br />Traffir <br />Planninc� <br />